RESUMO
Method of treatment of abdominal cavity in acute general peritonitis--high-frequency insufflation of drug aerosol into abdominal cavity--was developed, tested in animals and used in 126 patients. Results of treatment were compared with a standard method of surgical practice--peritoneal lavage. It is demonstrated that the method of high-frequency insufflation promotes a more favorable course of peritonitis, decreases in the number of purulent-septic complications and reduces time and cost of treatment.
Assuntos
Aerossóis/administração & dosagem , Insuflação/métodos , Peritonite/tratamento farmacológico , Cavidade Abdominal , Doença Aguda , Animais , Quimioterapia Combinada , Humanos , Insuflação/instrumentação , Modelos Animais , Lavagem Peritoneal , Peritonite/cirurgia , Coelhos , Resultado do TratamentoRESUMO
A comparison has been made between the results of 167 hernioplasties performed by generally accepted methods (those by Martynov, Girards, Bassini, Sholdis, Postemsky) and by the method of deep inguinal hernioplasty developed in the clinic for "difficult" hernias. The proposed method eliminates the main shortcoming of M.I. Kukudzhanov's method--tension of the sutured tissues. After hernioplasty of "difficult" hernias (106 operations) recurrences made up 1.9%.
Assuntos
Hérnia Inguinal/cirurgia , Procedimentos Cirúrgicos Operatórios/métodos , HumanosRESUMO
The authors have developed a method for influencing the altered peritoneum in the area of the inflammation focus by insufflation of medical aerosol at the postoperative period for quicker reestablishment of integrity and physiological function of its mesothelium and fibrinolytic activity which allows the probability of forming commissures in patients after appendectomy to be reduced. Long-term follow-up (up to 3 years) of 61 patients operated upon by the proposed method showed that in 59 of then the results were excellent and good.
Assuntos
Apendicectomia/efeitos adversos , Complicações Pós-Operatórias/prevenção & controle , Doença Aguda , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Apendicectomia/métodos , Apendicite/complicações , Apendicite/cirurgia , Drenagem/métodos , Feminino , Seguimentos , Humanos , Insuflação/métodos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , Aderências Teciduais/prevenção & controleRESUMO
An examination of 89 patients with posttraumatic coagulated hemothorax has shown that the definite roentgen picture corresponds to the characteristic clinical picture of the disease. These clinico-roentgenological signs of coagulated hemothorax are the determining factors in selection of the rational method of treatment. The data obtained show the necessity of early thoracotomy in cases of coagulated posttraumatic hemothorax.
Assuntos
Hemotórax/diagnóstico por imagem , Traumatismos Torácicos/diagnóstico por imagem , Hemotórax/epidemiologia , Hemotórax/etiologia , Hemotórax/cirurgia , Humanos , Radiografia Torácica , Estudos Retrospectivos , Traumatismos Torácicos/complicações , Traumatismos Torácicos/epidemiologia , Traumatismos Torácicos/cirurgia , Fatores de TempoRESUMO
An experience with treatment of 57 patients with pulmonary bleeding (12 of them being operated upon) has shown advantages of complex therapy with controlled hypotony and filling the bronchi. Resection of the lung is performed after arrest or reduction of bleeding. Such tactics has advantages over emergency operations fulfilled "at the height of bleeding".
Assuntos
Hemoptise/terapia , Pneumopatias/complicações , Adulto , Idoso , Artérias Brônquicas , Embolização Terapêutica , Feminino , Hemoptise/etiologia , Humanos , Hipotensão Controlada , Masculino , Pessoa de Meia-Idade , Artéria PulmonarRESUMO
The authors describe the mechanisms of development, clinical picture and treatment of the following variants of the "gaseous syndrome": emphysema of the chest wall, acute diffuse interstitial pulmonary emphysema and acute strained mediastinal emphysema.